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You've got 10 minutes with Einstein. What do you talk about? Black holes? Time travel?
Why not gambling? The Art of War? Contemporary parenting?
Each week, host Jason Gots surprises some of the world's brightest minds with ideas they're not at all prepared to discuss. Join us and special guests Neil Gaiman, Alan Alda, Salman Rushdie, Margaret Atwood, Richard Dawkins, Maria Popova, Mary-Louise Parker, Neil deGrasse Tyson and many more...
12 October, 2019
Cambridge Analytica whistleblower Christopher Wylie: the cognitive segregation of America
A talented young programmer, Christopher Wylie found himself at the center of a complex plot to overturn the cultural order in the United States and Europe—one that most likely tipped the scales on Brexit and the 2016 US presidential election.
Think Again Podcasts
I don't even know where to begin with this one. You've probably heard of Cambridge Analytica. Maybe you know they're a company that did some nefarious things involving facebook and the 2016 US presidential elections. If you're anything like me, you don't know the half of it. If you get through this episode without wanting to move to a remote hut in the Arctic circle, I will personally refund this hour of your life.
My guest today is Christopher Wylie, author of MindF*ck: Cambridge Analytica and the Plot to Break America. in high school, he found himself on the outside of lots of social circles. Computers and hacker culture gave him community. Identity. From there, it's a long strange trip through progressive politics in Canada to military Psy ops in London to helping Steve Bannon and the Billionaire Robert Mercer build the most powerful psychological weapon of mass destruction in existence—one that very likely won the presidency for Donald Trump and the Brexit vote.
Chris was 24 at the time. When the scale and consequences of Cambridge Analytica got too big to ignore, he turned whistleblower—and none of our lives, his included, will ever be the same.
Conversation starter: A clip from an upcoming episode with Ibram X. Kendi, author of How to be an Antiracist
How New York's largest hospital system is predicting COVID-19 spikes
Northwell Health is using insights from website traffic to forecast COVID-19 hospitalizations two weeks in the future.
14 January, 2021
Credit: Getty Images
Sponsored by Northwell Health
- The machine-learning algorithm works by analyzing the online behavior of visitors to the Northwell Health website and comparing that data to future COVID-19 hospitalizations.
- The tool, which uses anonymized data, has so far predicted hospitalizations with an accuracy rate of 80 percent.
- Machine-learning tools are helping health-care professionals worldwide better constrain and treat COVID-19.
<p>One of the most devastating aspects of the COVID-19 pandemic has been unpredictability. The nation's health systems—especially those in hard-hit areas like New York City—have had to adapt to sudden surges of COVID-19 cases, all while dealing with limited resources, existing patients, and a novel virus that's still not fully understood.</p><p>But what if health systems were able to forecast COVID-19 hospitalizations two weeks before they occur? Northwell Health, the largest health care system in New York state, recently deployed a predictive tool that does just that.</p><p>Northwell Health's <a href="https://www.northwell.edu/northwell-website-patterns-predict-covid-19-cases" target="_blank">surveillance dashboard</a> is able to predict COVID-19 hospitalizations by using insights from machine learning. In March, Northwell Health's Customer Insights Group developed an algorithm that's been mining data from online traffic to the Northwell.edu website, which has received more than 20 million hits since March.<strong></strong></p><p>The algorithm collects data through 15 different indicators, each of which reflects the online behavior of the website's visitors. For example, the tool analyzes metrics such as the length of time users spend on certain pages, searches for emergency department wait times, and specific symptoms users search for. Combined, this information translates into something like the "public mood" of the website on any given day.</p>
<blockquote>Since Northwell Health began using the predictive tool in September, it's predicted COVID-19 hospitalizations with an accuracy of about 80 percent.</blockquote>
<p>To understand how this mood relates to future COVID-19 cases, Northwell Health began comparing its data with a timeline of COVID-19 hospitalizations across 23 hospitals and nearly 800 outpatient facilities and in the metro New York area. This enabled the Customer Insights Group to see patterns of online activity that precede future increases or decreases in hospitalizations.</p><p>Since Northwell Health began using the predictive tool in September, it's predicted COVID-19 hospitalizations with an accuracy of about 80 percent.</p><p>"This is really the first tool that I've been exposed to that gives me a sort of guestimate of what two weeks from now may look like," said Dr. <a href="https://www.northwell.edu/find-care/find-a-doctor/emergency-medicine/dr-eric-scott-cruzen-md-mba-11346068" target="_blank" rel="noopener noreferrer">Eric Cruzen, </a>chief medical informatics officer of Northwell's emergency medicine services and chair of the emergency department at Lenox Health Greenwich Village in Manhattan.</p><p>"Even if the data can provide an idea of whether to expect an increase, decrease, or stasis, that's valuable. Because every day we're working to estimate what tomorrow's going to bring. Any tool that's going to shed light on that is a good tool in my book."</p>
The value of forecasting
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTA0Njk2OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMzM2NDQzOH0.rid9regiDaKczCCKBsu7wrHkNQ64Vz_XcOEZIzAhzgM/img.jpg?width=980" id="2bb93" class="rm-shortcode" data-rm-shortcode-id="31345afbdf2bd408fd3e9f31520c445a" data-rm-shortcode-name="rebelmouse-image" data-width="1546" data-height="1056" />Northwell emergency departments use the dashboard to monitor in real time.
Credit: Northwell Health
<p>One unique benefit of forecasting COVID-19 hospitalizations is that it allows health systems to better prepare, manage and allocate resources. For example, if the tool forecasted a surge in COVID-19 hospitalizations in two weeks, Northwell Health could begin:</p><ul><li>Making space for an influx of patients</li><li>Moving personal protective equipment to where it's most needed</li><li>Strategically allocating staff during the predicted surge</li><li>Increasing the number of tests offered to asymptomatic patients</li></ul><p>The health-care field is increasingly using machine learning. It's already helping doctors develop <a href="https://care.diabetesjournals.org/content/early/2020/06/09/dc19-1870" target="_blank">personalized care plans for diabetes patients</a>, improving cancer screening techniques, and enabling mental health professionals to better predict which patients are at <a href="https://healthitanalytics.com/news/ehr-data-fuels-accurate-predictive-analytics-for-suicide-risk" target="_blank" rel="noopener noreferrer">elevated risk of suicide</a>, to name a few applications.</p><p>Health systems around the world have already begun exploring how <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315944/" target="_blank" rel="noopener noreferrer">machine learning can help battle the pandemic</a>, including better COVID-19 screening, diagnosis, contact tracing, and drug and vaccine development.</p><p>Cruzen said these kinds of tools represent a shift in how health systems can tackle a wide variety of problems.</p><p>"Health care has always used the past to predict the future, but not in this mathematical way," Cruzen said. "I think [Northwell Health's new predictive tool] really is a great first example of how we should be attacking a lot of things as we go forward."</p>Making machine-learning tools openly accessible
<p>Northwell Health has made its predictive tool <a href="https://github.com/northwell-health/covid-web-data-predictor" target="_blank">available for free</a> to any health system that wishes to utilize it.</p><p>"COVID is everybody's problem, and I think developing tools that can be used to help others is sort of why people go into health care," Dr. Cruzen said. "It was really consistent with our mission."</p><p>Open collaboration is something the world's governments and health systems should be striving for during the pandemic, said Michael Dowling, Northwell Health's president and CEO.</p><p>"Whenever you develop anything and somebody else gets it, they improve it and they continue to make it better," Dowling said. "As a country, we lack data. I believe very, very strongly that we should have been and should be now working with other countries, including China, including the European Union, including England and others to figure out how to develop a health surveillance system so you can anticipate way in advance when these things are going to occur."</p><p>In all, Northwell Health has treated more than 112,000 COVID patients. During the pandemic, Dowling said he's seen an outpouring of goodwill, collaboration, and sacrifice from the community and the tens of thousands of staff who work across Northwell.</p><p>"COVID has changed our perspective on everything—and not just those of us in health care, because it has disrupted everybody's life," Dowling said. "It has demonstrated the value of community, how we help one another."</p>
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01 February, 2020
Sharon Salzberg - On Balance
In this episode master teacher Sharon Salzberg considers whether it's ok to teach mindfulness to the armed forces, how practitioners of meditation and mindfulness should balance openness with discipline, and so much more.
Think Again Podcasts
<p>Since 1974, <a href="https://www.sharonsalzberg.com/" target="_blank">Sharon Salzberg</a> has been sharing ancient meditation and mindfulness practices in a voice the contemporary West can understand. Her warm, funny, down-to-earth books, dharma talks, and guided meditations have helped struggling meditators worldwide establish a strong practice and reduce the suffering in their lives. In this episode Sharon sits down with Jason to consider whether it's ok to teach mindfulness to the armed forces, how western practitioners should deal with the almost militant tone of some eastern teachers when it comes to discipline and "right effort", and so much more. Sharon's latest book is <a href="https://www.sharonsalzberg.com/real-happiness-book/" target="_blank">Real Happiness: a 28 day program for realizing the power of meditation</a>, now thoroughly updated and revised for its 10th anniversary.</p>
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25 January, 2020
Roz Chast and Patricia Marx (cartoons, words, ukuleles) – the Beatles stole everything from us
The New Yorker-based comedy team on never exercising or going outside, and so much more.
Think Again Podcasts
<p><br/></p>
<p>Thelma and Louise, Ponch and John, Pancho and Lefty, Quixote and Sancho Panza, Marx and Engels, Marx and Chast…history and literature are full of magical buddy stories. Every now and then, for reasons no one can explain, Two people come together and produce something greater, or at least very different, from the sum of their parts.</p><p>I'm here today with one such team: the writer-cartoonist duo of <a href="https://www.newyorker.com/contributors/patricia-marx" target="_blank">Patricia Marx</a> and <a href="https://www.newyorker.com/contributors/roz-chast" target="_blank">Roz Chast</a>. They're both longtime contributors to the New Yorker and fearsome humorists in their own rights. But together they form a third fearsome thing, a thing which has created books such as Why Don't You Write My Eulogy Now So I Can Correct it: A Mother's Suggestions, And their latest: <a href="https://celadonbooks.com/books/you-can-only-yell-at-me-for-one-thing-at-a-time/" target="_blank">You Can Only Yell At Me For One Thing At A Time: Rules for Couples</a>. They're also the enigmatic figures behind yet a fourth thing, the legendary ukulele band Ukelear Meltdown.</p><p>– <a href="http://jasongots.com/" target="_blank">Jason Gots</a></p>
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20 January, 2020
mindfulness and meditation teacher Joseph Goldstein – doubt comes masquerading as wisdom
In this first episode of 2020, beloved dharma teacher Joseph Goldstein is back for a conversation about struggle, doubt, and growth on the spiritual path.
Think Again Podcasts
<p><br/></p>
<p>Freedom. Everyone wants it, but knowing where to look for it is another matter. And to make matters worse, the world is full of things that feel like freedom but might just get us more tangled up in everything we're trying to escape. How much freedom can money buy? How much money? How free are you on a tropical vacation? Would uploading your consciousness into the cloud and downloading it into a robot avatar on Alpha Centauri make you more free? How about falling in love again? How about three margaritas with friends? Or six? How about falling in love again? A better government? Less government? No government at all? </p><p>I'm here today with <a href="https://www.dharma.org/teacher/joseph-goldstein/" target="_blank">Joseph Goldstein</a>, a beloved teacher of Buddhist ideas and practice in the West and a personal inspiration to me, to talk about freedom of the mind and spirit—and the kinds of effort and insight that can lead there. Joseph is the co-founder of <a href="https://www.dharma.org/" target="_blank">Insight Meditation Society</a> in Barre, Massachusetts and the author, most recently, of <a href="https://www.soundstrue.com/store/mindfulness-3372.html" target="_blank">Mindfulness: a Practical Guide to Awakening</a>.</p>
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